• minority;
  • Hispanic;
  • underinsured;
  • health literacy



The purpose of this study was to evaluate the effect of a video on patient understanding of basic breast cancer concepts.


An 11 item tool of breast cancer concepts was devised. A previous study obtained baseline information on patient knowledge. Subsequently an 8 min video was designed to facilitate the understanding of these concepts. The next 40 consecutive patients who saw the video were then administered the same 11 item questionnaire.


Eighty-one women agreed to participate in the study, 41 before and 40 after the implementation of the video. Fifty-one percent had less than a high school education. The group who saw the video had a higher mean number of questions correct (6.7 vs. 8.9, P = 0.0007). Interestingly 90% of all respondents correctly answered the question on the value of screening mammography, however, only 37% of these patients underwent screening mammograms. A multiple linear regression model adjusting for years of education, language, and seeing the video, revealed that having seen the video (P = 0.0029) and years of education (P = 0.0002) remained significantly associated with higher score.


Implementation of an educational video significantly improved understanding of breast cancer concepts in an undereducated population. J. Surg. Oncol. 2012; 105:48–54. © 2011 Wiley Periodicals, Inc.